Individual provider · Type 1 NPI

Kimberly A. Mahoney

Clinical Social Worker · Pueblo, CO

NPI number 1235456393 Active

Practice location

1301 E 7th St
Pueblo, CO 81001-3508

Call (719) 543-8711 Map

Fax (719) 543-0171

Mailing address

110 E Routt Ave
Pueblo, CO 81004-2117

Other practice locations

  • 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 · (843) 852-4100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000X9376 (SC)
Clinical Social Worker Primary 1041C0700XCSW.09926768 (CO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1235456393

Kimberly A. Mahoney's National Provider Identifier is 1235456393, issued on Apr 29, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pueblo, CO. The record was last updated on Feb 1, 2024.